Information To Help Law Enforcement Identify Defendant Form. This is a Kansas form and can be use in District Court Statewide.

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Tags: Information To Help Law Enforcement Identify Defendant, Kansas Statewide, District Court

SERVICE COVER SHEET AND NCIC INFORMATION FORM
NOTICE: THIS INFORMATION IS INTENDED TO BE USED BY LAW
ENFORCEMENT TO IDENTIFY THE DEFENDANT FOR ENFORCEMENT OF THE
ORDER AND FOR NCIC DATA ENTRY. THIS FORM IS NOT TO BE INCLUDED IN
THE PUBLIC RECORD AND SHOULD BE DESTROYED ONCE THE REQUIRED
INFORMATION IS ENTERED IN THE NCIC FILE. THIS INFORMATION IS
VOLUNTARY ON THE PART OF THE PLAINTIFF.
Plaintiff’s Name:
Plaintiff Identifiers:
Date of Birth
Relationship to Defendant:
are or
have been in a dating relationship
reside together or
formerly resided together
have a child in common
Sex:
F
M
vs.
Defendant’s Name:
Defendant Identifiers: (Please include all available information.)
SEX
Any other name(s) Defendant has been known by:
____________________________________________
____________________________________________
Defendant can be found at (give all available addresses):
RACE
DOB
HAIR
EYES
SOCIAL SECURITY NUMBER
DRIVERS LICENSE #
DL STATE
HT
WT
DL EXP. DATE
Home Address: ________________________________
VEHICLE MAKE
VEHICLE MODEL VEHICLE YEAR
___________________________________________
___________________________________________
Phone number(s): ____________________________
Times Defendant is usually there_________________
__________________________________________ Distinguishing Features (tattoos, scars, locations frequented, etc.):
Please describe: ___________________________________________
Place of employment: __________________________
________________________________________________________
___________________________________________ ________________________________________________________
___________________________________________ ________________________________________________________
Phone number(s): ____________________________ ________________________________________________________
Times Defendant is usually there_________________ ________________________________________________________
__________________________________________
Does Defendant wear glasses?
Yes
No
Other Address: ________________________________
___________________________________________ Does Defendant own or possess any weapons?
Yes
No
___________________________________________ If so, what kind(s)? ________________________________________
Phone number(s): ____________________________
_______________________________________________________
Times Defendant is usually there_________________ _______________________________________________________
___________________________________________
_______________________________________________________
07/01/2012
American LegalNet, Inc.
www.FormsWorkFlow.com

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